Advanced Health Assessment & ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Differential Diagnosis Module 1 exam with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ||\\||\\
Building a History ||\\||\\ ||\\||\\
-"Building" a history rather than "taking" one ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because you and your patient are involved in a joint
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
effort
-Context of that relationship in emotional, physical, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and ethical terms
||\\||\\ ||\\||\\
-Verbal and nonverbal behavior that you may adapt
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to your individual comfort and style
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Approaches to structure of a history with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
adaptations suggested for age, gender, and disability ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Developing a Relationship with the Patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-The first meeting with the patient sets the tone for a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
successful partnership ||\\||\\
,-You will be open, flexible, and eager to deal with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
questions and explanations ||\\||\\ ||\\||\\
-You will explain the boundaries of your practice and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the degree of your availability in any situation
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Trust evolves from honest and candor ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Primary Objectives: ||\\||\\
-To discover the details about a patient's concern
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-To explore expectations for the encounter
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-To display genuine interest, curiosity, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
partnership
-To prevent misinterpretations and misperceptions,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
you must make every effort to sense the world of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient as that patient sees it ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient-Centered Care ||\\||\\
Defined by the Institute of Medicine as: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Respecting and responding to patients wants, needs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and preferences, so that they can make choices in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,their care that best fit their individual circumstances
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Your own beliefs, attitudes, and values cannot be
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
discarded, but you do have to discipline them ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Effective Communication ||\\||\\
Establishing a positive patient relationship depends ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
on communication built on:
||\\||\\ ||\\||\\ ||\\||\\
-Courtesy
-Comfort
-Connection
-Confirmation
-Confidentiality
Enhancing Patient Responses ||\\||\\ ||\\||\\
Open-ended question ||\\||\\
-Allows patient discretion about the extent of an ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer
Direct question ||\\||\\
-Seeks specific information ||\\||\\ ||\\||\\
, Leading question ||\\||\\
-May limit the information provided to what the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient thinks you want to know ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
If the patient does not understand what you are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
asking, remember to: ||\\||\\ ||\\||\\
-Facilitate: Encourage your patient to say more ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Reflect: Repeat what you have heard ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Clarify: Ask "what do you mean?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Empathize: Show understanding and acceptance ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Confront: Address disturbing patient behavior ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Interpret: Repeat what you have heard to confirm ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient's meaning
||\\||\\ ||\\||\\
Potenital Barriers to Communication ||\\||\\ ||\\||\\ ||\\||\\
-Curiosity about you ||\\||\\ ||\\||\\
-Anxiety
-Silence
-Depression
-Crying
-Physical intimacy ||\\||\\
Differential Diagnosis Module 1 exam with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ||\\||\\
Building a History ||\\||\\ ||\\||\\
-"Building" a history rather than "taking" one ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because you and your patient are involved in a joint
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
effort
-Context of that relationship in emotional, physical, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and ethical terms
||\\||\\ ||\\||\\
-Verbal and nonverbal behavior that you may adapt
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to your individual comfort and style
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Approaches to structure of a history with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
adaptations suggested for age, gender, and disability ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Developing a Relationship with the Patient ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-The first meeting with the patient sets the tone for a
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
successful partnership ||\\||\\
,-You will be open, flexible, and eager to deal with
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
questions and explanations ||\\||\\ ||\\||\\
-You will explain the boundaries of your practice and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the degree of your availability in any situation
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Trust evolves from honest and candor ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Primary Objectives: ||\\||\\
-To discover the details about a patient's concern
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-To explore expectations for the encounter
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-To display genuine interest, curiosity, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
partnership
-To prevent misinterpretations and misperceptions,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
you must make every effort to sense the world of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient as that patient sees it ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Patient-Centered Care ||\\||\\
Defined by the Institute of Medicine as: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Respecting and responding to patients wants, needs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and preferences, so that they can make choices in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,their care that best fit their individual circumstances
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Your own beliefs, attitudes, and values cannot be
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
discarded, but you do have to discipline them ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Effective Communication ||\\||\\
Establishing a positive patient relationship depends ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
on communication built on:
||\\||\\ ||\\||\\ ||\\||\\
-Courtesy
-Comfort
-Connection
-Confirmation
-Confidentiality
Enhancing Patient Responses ||\\||\\ ||\\||\\
Open-ended question ||\\||\\
-Allows patient discretion about the extent of an ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer
Direct question ||\\||\\
-Seeks specific information ||\\||\\ ||\\||\\
, Leading question ||\\||\\
-May limit the information provided to what the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient thinks you want to know ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
If the patient does not understand what you are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
asking, remember to: ||\\||\\ ||\\||\\
-Facilitate: Encourage your patient to say more ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Reflect: Repeat what you have heard ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Clarify: Ask "what do you mean?" ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Empathize: Show understanding and acceptance ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Confront: Address disturbing patient behavior ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
-Interpret: Repeat what you have heard to confirm ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the patient's meaning
||\\||\\ ||\\||\\
Potenital Barriers to Communication ||\\||\\ ||\\||\\ ||\\||\\
-Curiosity about you ||\\||\\ ||\\||\\
-Anxiety
-Silence
-Depression
-Crying
-Physical intimacy ||\\||\\
